Specialist Inclusion Support Service Referral

Child's details

Parent/carer details

Provide names and addresses, if different, for each parent or carer and indicate who has parental responsibility

Parent/carer details (if different)

Referrer details

Reason for Referral

Further information

Parental consent

The referrer can complete the following questions on behalf of the parent/carer and confirm they have explained all the options and are accurately reflecting the parent/carer’s wishes. The referrer is also confirming that they have explained the purpose of the referral to SISS and obtained parental consent.
Any information that you provide will be used by SISS to help us tailor services for your child. Your information will be treated as confidential, and stored in a secure way. It will only be shared with other council services and partner organisations to ensure our records are kept accurate. The staff from the team working with your child will report on assessment and or intervention findings and discuss with you, school/nursery the action and support which will need to follow.
Your records will be kept for 25 years for audit purposes and in the event we need to provide information about the service you have received.

Confirmation

 

Data Protection

Your information may be shared with other council services and partner organisations to ensure our records are kept accurate and to help us to identify services or benefits you may be entitled to or interested in. We may also need to share your information for the prevention and detection of fraud and/or other crimes or as the law requires. For further information about how we use your information please refer to the Council’s Privacy Statement on www.solihull.gov.uk.

         

Copyright © Solihull Metropolitan Borough Council - 2019